Pelvic organ prolapse
Conditions
Interventions
The ERAS protocol group:Implementation of ERAS protocol for patients who underwent TVM repairs
The traditional protocol group:Implementation of traditional protocol for patients who underwent TVM repairs
Sponsors
Peking Union Medical College Hospital, Chinese Academy of Medicine Sciences;National Clinical Research Center for Obstetrics and Gynecology Diseases
Eligibility
Sex/Gender
Female
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Age60~80 years old; 2. For patients with pelvic organ prolapse (POP) who plan to undergo pelvic floor reconstruction with trans-vaginal mesh(TVM) surgery; the indications of TVM surgery must strictly comply with the Chinese guidelines for the diagnosis and treatment of pelvic organ prolapse (2020 Edition): 1)Patients with recurrent symptomatic POP; 2)Patients over 60 years old with newly diagnosed severe prolapse (for Xiehe Pelvic Floor Reconstruction Surgery with TVM, at least stage III (ICS-classification according to POP-Q system) in anterior pelvic compartment, accompany with or without middle compartment; the severity of posterior compartment prolapse no more than stage II. 3. ASA class I - II; 4. Sign informed consent.
Exclusion criteria
Exclusion criteria: 1. Under the age of 60 or over the age of 80; 2. Complicated with gynecological malignant tumor; 3. Acute infection, mental illness and other surgical contraindications; 4. NSAIDs medication contraindications (peptic ulcer, NSAIDs allergy history, aspirin asthma history); 5. Emergency surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative hospital stay; | — |
Secondary
| Measure | Time frame |
|---|---|
| Complications within 30 days after operation;Rehospitalization rate within 30 days after operation;Emergency visit rate within 30 days after operation;Hospitalization expense;First intestinal exhaust time(hours);Postoperative indwelling time of urinary catheter(hours);First assisted walking time, hours;VAS;PGI-I;QoR-15;the incidence of PONV;Residual urine volume after the first catheter removal;The incidence of postoperative morbidity; | — |
Countries
China
Contacts
Public ContactLan Zhu
Peking Union Medical College Hospital, Chinese Academy of Medicine Sciences;National Clinical Research Center for Obstetrics and Gynecology Diseases
Outcome results
None listed